Healthcare Provider Details

I. General information

NPI: 1174916886
Provider Name (Legal Business Name): HELEN NEWBERRY JOY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2015
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 W HARRIE ST
NEWBERRY MI
49868-1209
US

IV. Provider business mailing address

502 W HARRIE ST
NEWBERRY MI
49868-1209
US

V. Phone/Fax

Practice location:
  • Phone: 906-293-9200
  • Fax: 906-293-9208
Mailing address:
  • Phone: 906-293-9200
  • Fax: 906-293-9208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1070000159
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number1060000111
License Number StateMI

VIII. Authorized Official

Name: EMILY EMERY-SHEA
Title or Position: CFO
Credential:
Phone: 906-293-9200